Checklist for a safe intra-hospital transport of critically ill patients: A scoping review
Abstract
Transporting critically ill patients is has a set of risks that may jeopardize their safety. Knowing the risks associated with intrahospitalar transport of critically ill patients is essential to improving patient safety. For the sake of improving patient safety, was chosen to approach it as an intrahospitalar transport checklist, as the literature describes it as a practical and simple way to increase safety.
Objective: Map available scientific evidence regarding aspects of a checklist that ensure the safety of critically ill patients in intrahospitalar transport.
Material and Method: A scoping review was performed following the methodology proposed by The Joanna Briggs Institute in databases using the EBSCOhost and B-on search engines. Conducted research in Portuguese, English, and Spanish. Selected free full text articles, with no time limit. Inclusion criteria: adult/elderly critically ill patient, intrahospital transport, a checklist and patient safety.
Results: Included 7 articles for analysis. Most verification requests that ensure the safety of critical patients on intrahospitalar transport concern the transport preparation phase, in which patient is monitored was the most mentioned aspect. From the post-transportation phase, checklist aspects are only available in 3 of 7 articles
Conclusion: All studies address aspects that improve the safety of critically ill patients in intrahospitalar transport and are likely to be included in the checklist. There is no unanimity as to which aspects to include in the checklist.
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References
Morais SA, Almeida LF. Por uma rotina no transporte intra-hospitalar: elementos fundamentais para a segurança do paciente crítico. Revista Hospitalar Universidade Pedro Ernesto. 2013;12(3):138–146.
Ribeiro G da SR, Silva RC da, Ferreira M de A. Tecnologias na terapia intensiva: causas dos eventos adversos e implicações para a Enfermagem . Revista Brasileira de Enfermagem. 2016 ;69(5):972–980.
Ordem dos Médicos (Comissão da Competência em Emergência Médica) e Sociedade Portuguesa de Cuidados Intensivos. Transporte de Doentes Críticos. 2008; 1-30.
Barbiani R, Nora CRD, Schaefer R. Práticas do enfermeiro no contexto da atenção básica: Scoping review. Revista Latino-Americana de Enfermagem. 2016;24(0).
Ott LK, Hoffman LA, Hravnak M. Intrahospital transport to the radiology department: Risk for adverse events, nursing surveillance, utilization of a MET, and practice implications. Journal of Radiology Nursing. 2011;30(2):49–54.
Farnoosh L, Hossein-Nejad H, Beigmohammadi M-T, Seyed-Hosseini-Davarani S-H. Preparation and Implementation of Intrahospital Transfer Protocol for Emergency Department Patients to Decrease Unexpected Events. Advanced Journalof Emergency Medicine. 2018;2(3):e29.
Jia L, Wang H, Gao Y, Liu H, Yu K. High incidence of adverse events during intra-hospital transport of critically ill patients and new related risk factors: A prospective, multicenter study in China. Critical Care. 2016;20(1):1–13.
Brunsveld-Reinders AH, Arbous MS, Kuiper SG, Jonge E. A comprehensive method to develop a checklist to increase safety of intra-hospital transport of critically ill patients. Critical Care. 2015;19(1), 214.
Choi HK, Shin S Do, Ro YS, Kim DK, Shin SH, Kwak YH. A before- and after-intervention trial for reducing unexpected events during the intrahospital transport of emergency patients. The American Journal Emergency Medicine. 2011;30(8):1433–1440.
De Almeida ACG, Neves ALD, De Souza CLB, Garcia JH, De Lima LJ, De Barros ALBL. Transporte intra-hospitalar de pacientes adultos em estado crítico: complicações relacionadas à equipe, equipamentos e fatores fisiológicos. Acta Paulista de Enfermagem. 2012;25(3):471–476.
Hales BM, Pronovost PJ. The checklist-a tool for error management and performance improvement. Journal Critical Care. 2006;21(3):231–5
Ministério da Saúde. Plano Nacional para a Segurança dos doentes 2015-2020. Diário da República. 2015;2(2).
Intensive Care Society. Guidance On: The Transfer Of The Critically Ill Adult. 2019;1–40.
College of Intensive Care Medicine of Australia and New Zealand, Emergency Medicine, A. C. F., & Anaesthetists A. Guidelines for Transport of Critically ill Patients. Emergency Medicine. 2015; 1-12.
Ordem dos Enfermeiros. Regulamento de Competências Específicas do Enfermeiro. 2018;19359–19370.
Dunn MJG, Gwinnutt CL, Gray AJ. Critical care in the emergency department: Patient transfer. Emerg Med J. 2007;24(1):40–44.
Papson JPN, Russell KL, Taylor DMD. Unexpected Events during the Intrahospital Transport of Critically Ill Patients. Acad Emerg Med. 2007;14(6):574–577.
Direçao Geral de Saúde. Estrutura Concetual da Classificação Internacional sobre Segurança do Doente. Relatório técnico Final. 2011;142. Disponivel em:
Joint Commission. National Patient Safety Goals 2019. 2019;1.
Gawande A. The Checklist Manifesto: How to get things right. First Edit. York New York: Metropolitan Books. 2010. ISBN: 978-0-8050-9174-8.
Winters BD, Gurses AP, Lehmann H, Sexton JB, Rampersad CJ, Pronovost PJ. Clinical review: Checklists - translating evidence into practice. Crit Care. 2009;13(6):1–9.
Williams P, Karuppiah S, Greentree K, Darvall J. A checklist for intrahospital transport of critically ill patients improves compliance with transportation safety guidelines. Australian Critical Care. 2019;2–6.
The Joanna Briggs Institute. Joanna Briggs Institute Reviewers’ Manual: 2015 edition/Supplement. South Australia: The Joanna Briggs Institute; 2015.
Raizer CN, Cruz ICF da. Transporte intra-hospitalar dos clientes criticos: revisao sistematizada da literatura para um protocolo clinico. Journal of Specialized Nursing Care. 2016;8,No1.
Silva R da, Amante LN. Checklist for the intrahospital transport of patients admitted to the Intensive Care Unit. Text Context Nursing 2015;24(2):539–547.
Comeau OY, Armendariz-Batiste J, Woodby SA. Safety first! using a checklist for intrafacility transport of adult intensive care patients. Critical Care Nurse. 2015;35(5):16–25.
Beckmann U, Gillies DM, Berenholtz SM, Wu AW, Pronovost P. Incidents relating to the intra-hospital transfer of critically ill patients: An analysis of the reports submitted to the Australian Incident Monitoring Study in Intensive Care. Intensive Care Medicine. 2004;30(8):1579–1585.
Bergman LM, Pettersson ME, Chaboyer WP, Carlström ED, Ringdal ML. Safety hazards during intrahospital transport: A prospective observational study. Critical Care Medicine. 2017;45(10):e1043–1049.
Ong MS, Coiera E. Safety through redundancy: A case study of in-hospital patient transfers. Qual Saf Health Care. 2010;19(5):1–8.
Júnior GAP., Carvalho JB de, Filho, Ponte AD, Malzone, DA, Pedersoli CE. Transporte Intra-Hospitalar do Paciente Crítico. Simpósio de Cirurgia de Urgência e Trauma. 2007;2a Parte C(4):500–508.
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